Hemant T Thawani MD PLLC

Hemant T Thawani MD PLLC was paid $374K by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 35% of everything it billed.

33Billing provider infoHEMANT T THAWANI MD PLLC
GRAND BLANC, MI 48439

33aNPI1427081231assigned 07/08/2006

33bProvider typeEndocrinology, Diabetes & Metabolism Physician

28Total paid$374K

24GClaims9,900

24DCodes billed9

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Endocrinology, Diabetes & Metabolism Physician providers in Michigan

Rank by total paid#8 of 37

Median peer was paid$136K

This provider vs. median2.7×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	1,302	$40K
2019	1,808	$60K
2020	1,626	$55K
2021	1,865	$77K
2022	1,465	$61K
2023	1,177	$50K
2024incomplete	657	$31K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	35%	2,318	2,280	$132K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	21%	1,886	1,857	$78K
99232	Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity	16%	1,713	534	$62K
99222	Initial hospital care, per day, moderate complexity	14%	766	732	$52K
76536		5.6%	377	368	$21K
99231	Subsequent hospital care, per day, straightforward or low complexity	4.1%	766	151	$15K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	2.2%	101	100	$8K
82962		<1%	1,946	1,916	$3K
99205	Prolong outpt/office vis	<1%	27	27	$3K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialTHAWANI, HEMANT (OWNER)